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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BECTON, DICKINSON AND CO. BD¿ POSIFLUSH; VASCULAR CATHETER FLUSH SYRINGE

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BECTON, DICKINSON AND CO. BD¿ POSIFLUSH; VASCULAR CATHETER FLUSH SYRINGE Back to Search Results
Catalog Number 306546
Device Problem Difficult or Delayed Positioning (1157)
Patient Problem No Known Impact Or Consequence To Patient (2692)
Event Date 10/25/2018
Event Type  malfunction  
Manufacturer Narrative
The initial reporter also notified the fda on (date) via medwatch # 5081661.A device evaluation is anticipated, but has not yet begun.Upon completion of the investigation, a supplemental report will be filed.
 
Event Description
It was reported that a plunger of bd¿ posiflush was difficult to move during use.
 
Manufacturer Narrative
H.6.Investigation summary: lot number 8192991 was received for evaluation by our quality engineer team.During the production process of lot number 8192991, there was one documented non-conformance that may have contributed to the reported defect.Although a sample was not returned for this specific quality record, defective plunger movement was observed within previous returned samples of the same lot number.During production, a damaged silicone canister was found within the silicone station, which resulted in an insufficient supply of silicone to the syringe barrels.Product associated with this non-conformance was held for inspection and all affected material should have been discarded.It is possible that a misdetection in defective product caused this incident, as the samples were not properly discarded.The damaged silicone canister has since been replaced.Complaints received for this defect and device will be monitored by our quality team for signs of emerging trends.
 
Event Description
It was reported that a plunger of bd¿ posiflush was difficult to move during use.
 
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Brand Name
BD¿ POSIFLUSH
Type of Device
VASCULAR CATHETER FLUSH SYRINGE
Manufacturer (Section D)
BECTON, DICKINSON AND CO.
donore road
drogheda
MDR Report Key8199975
MDR Text Key132209395
Report Number9616657-2018-00074
Device Sequence Number1
Product Code FOZ
UDI-Device Identifier30382903065463
UDI-Public30382903065463
Combination Product (y/n)N
PMA/PMN Number
K141311
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type health professional,other
Type of Report Initial,Followup
Report Date 01/07/2019
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? Yes
Device Operator Other
Device Expiration Date06/30/2021
Device Catalogue Number306546
Device Lot Number8192991
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer12/11/2018
Initial Date Manufacturer Received 12/07/2018
Initial Date FDA Received12/27/2018
Supplement Dates Manufacturer Received12/07/2018
Supplement Dates FDA Received01/07/2019
Is This a Reprocessed and Reused Single-Use Device? No
Patient Sequence Number1
Patient Outcome(s) Other;
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